127-2           PROCESSING DENALI KIDCARE IN DPA Division of Public Assistance DISTRICT OFFICES

There are certain situations when Denali KidCare eligibility can be determined in a DPA Division of Public Assistance district office.  These situations are:

1. When a family submits a Family Medicaid application and there is no eligibility for Family Medicaid and the children are eligible for Denali KidCare. The Denali KidCare case is then transferred to the Denali KidCare office. If the household has other open programs, the Denali KidCare case will remain carc'd with these programs. If there are no other open programs, the stand-alone Denali KidCare case will be transferred to the Denali KidCare office. Refer to MS 101-5D(5) for additional information about transferring cases.

Example:

A mother is in applying for ATAP Adult Temporary Assistance Program , Food Stamps, and Family Medicaid.  The household consists of the mother, her husband, and two children ages 10 and 8.  The application and collateral contact reveal that the household is over income and over resource for Food Stamps, ATAP Adult Temporary Assistance Program , and Family Medicaid.  

The actions the DPA Division of Public Assistance caseworker should take are to deny the ATAP Adult Temporary Assistance Program , Food Stamps, and Family Medicaid and send appropriate notice.  Review eligibility for Denali KidCare.  If eligible, register a Denali KidCare case, authorize benefits, send the appropriate D series notice, and CARC Case Record Control the open Denali KidCare case to 072-9-99.

2. When a family becomes ineligible for Family Medicaid and there is no Transitional or Post Medicaid eligibility. The caseworker must not deny Medicaid eligibility for the children through the six-month continuous certification period. The Family Medicaid caseworker may determine Denali KidCare eligibility for the children if the children remain in the home. The Denali KidCare case is then transferred to the Denali KidCare office.  If the household has other open programs, the Denali KidCare case will remain carc'd with these programs. If there are no other open programs, the stand-alone Denali KidCare case will be transferred to the Denali KidCare office. Refer to MS 101-5D(5) for additional information about transferring cases.

3. When Transitional or Post Medicaid ends. Denali KidCare eligibility must be determined for the children. The Denali KidCare case is then transferred to the Denali KidCare office. If the household has other open programs, the Denali KidCare case will remain carc'd with these programs. If there are no other open programs, the stand-alone Denali KidCare case will be transferred to the Denali KidCare office. Refer to MS 101-5D(5) for additional information about transferring cases.

Example:

A family has an ongoing ATAP Adult Temporary Assistance Program , Food Stamps, and Family Medicaid case.  In October 2001 the household became over income for all ATAP and Family Medicaid and the caseworker set up Transitional Medicaid.  Transitional Medicaid ended on September 30, 2013.  

In this scenario, the case worker must determine Denali KidCare eligibility for the children. If eligible register an application with an October 1 start date and send the appropriate D series notice. Because the household still has an open Food Stamp case, the Denali KidCare will remain carc'd with the Food Stamp case.  

4. When a child fluctuates between Denali KidCare and TEFRA Tax Equity and Fiscal Responsibility Act , the TEFRA Tax Equity and Fiscal Responsibility Act caseworker can maintain the Denali KidCare case.